Staci L Hubert, PHARMD.

Primary specialty

PharmacistTaxonomy code 183500000X

License

10810 Issued in NE

Practice address

1401 Silver St
Ashland, NE 68003-1845

Phone

(402) 944-3303

Fax

(402) 944-9413

NPI assigned

Oct 17, 2006

Sex

Female

Sole proprietor

No

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Pharmacy

State licenses

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jul 8, 2007.

{
    "created_epoch": "1161043200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1508947896",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23561 PRAIRIE RIDGE RD",
            "city": "GRETNA",
            "state": "NE",
            "postal_code": "680284328",
            "telephone_number": "402-332-4857",
            "fax_number": "402-944-9413"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1401 SILVER ST",
            "city": "ASHLAND",
            "state": "NE",
            "postal_code": "680031845",
            "telephone_number": "402-944-3303",
            "fax_number": "402-944-9413"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUBERT",
        "first_name": "STACI",
        "middle_name": "L",
        "credential": "PHARMD.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-17",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NE",
            "license": "10810",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE NUMBER",
            "identifier": "10810",
            "state": "NE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• All providers in Ashland, NE
• Pharmacist in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.